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MaineHealth Accountable Care Organization

ACO Details

ACO Service Area(s):  ME NH 

MaineHealth Accountable Care Organization

110 Free StreetPortlandMaine 04101 

Executive Contact

Francis McGinty
Request Contact Details

Public Contact

Katie Harris
(207) 661-7559
blissj@mainehealth.org
Overview

MaineHealth Accountable Care Organization was started in July 2012. In its second year, this organization spent $8,501 on average for each of its 49,413 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $8,484 per beneficiary, a difference of -$17. The ACO successfully reported, but failed to earn its participants any savings. This ACO lost Medicare $831,129 compared to its benchmark year.

This is a Track 1 Shared Savings ACO which means it has accepted only upside with no downside risk in exchange for a smaller maximum shared savings rate.

ACOs can request early payments to help finance the startup costs of the ACO. This ACO did not accept any advanced payments.

2014 Performance

Earned Savings

$0

Cost Reduction

(0.2)%

Quality Points

47.15 of 581

Medicare Shared Savings Program Quality Measures
All 33 measures must be reported to CMS but not all are used to calculate the performance.
More Information
DescriptionMeasuresPercentile
Patient/Caregiver Experience
 Getting Timely Care, Appointments, and Information ACO-1 
 
 
 
 
 
 
 

80-90th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

Above 90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

80-90th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

70-80th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

Above 90th
Care Coordination/Patient Safety
 Risk Standardized, All Condition Readmissions ACO-8 
 
 
 
 
 
 
 

Above 90th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

60-70th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

50-60th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

70-80th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

80-90th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

80-90th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

60-70th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

60-70th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

50-60th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

Above 90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

60-70th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

70-80th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

40-50th
At-Risk Population Diabetes
 Patients who meet all the following measures
Low Density Lipoprotein (LDL) (<100 mg/dL), Aspirin Use, Hemoglobin A1c Control (HbA1c) (<8 percent), Blood Pressure (BP) < 140/90, Tobacco Non Use
ACO-23 ACO-26 ACO-22 ACO-24 ACO-25 
 
 
 
 
 
 
 

60-70th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

80-90th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

60-70th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

70-80th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

70-80th
At-Risk Population HF
 Beta-Blocker Therapy for LVSD ACO-31 
 
 
 
 
 
 
 

80-90th
At-Risk Population CAD
 Patients who meet all the following measures
Drug Therapy for Lowering LDL Cholesterol, ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD
ACO-32 ACO-33 
 
 
 
 
 
 
 

50-60th
ACO Statistics
Participants
Coastal Women''s Healthcare
Gilbert Wilcox, MD
Midcoast Eye Associates, PA
Gwendolyn O''Guin, DO
Julius Damion, MD
Curtis Winchenbach, Pa
Ann M. Babbitt, MD pa
Falmouth Osteopathy & Acupuncture
Intermed PA
Western Maine Multi Medical Specialist
Julia Harre, MD
Sam Nawfel, DO
Orthopedic Center of New England
Portland Foot And Ankle Pa
Andrew Carey, MD
Lyndon W Morgan, MD, LLC
Falmouth Orthopaedic Center
Francine Blattner, MD
Boulet-Steele Chiropractic & Acupuncture Center, P.A.
Pamela Wansker, DO
Pediatric Cardiology Associates
John H Dorsey Jr Dpm Pa
James C. Delehanty, M.D.
Portland Gastroenterology Associates
Maine Centers for Healthcare
William Frank MD
Allergy & Asthma Associates of Maine
Maine Orthopaedic Center, PA
Eyecare Medical Group
Maine Center for Cancer Medicine & Blood Disorders
Joel Sabean
George Gardner Jr. D.O.
Andrew Candelore, DO
Plastic & Hand Surgical Associates
Maine Eye Center
Coastal Health Care
Dennis Sullivan, M.D., P.A.
Marjorie Boyd, MD
Franklin Memorial Hospital dba Franklin Health
Ann M. Rainville, M.D.
Marguerite Pennoyer, MD
Lake Region Foot and Ankle Center
Freeport Osteopathic Health
Cindy Asbjornsen Do Llc
Karen L. Roberts, D.O. Professional Corporation
Charles Carr,Jr.DO
Jessica Bell Do Professional Corporation
Chrysalis North Professional Corporation D/B/A Jennifer Barrett, DO
Integrative Healers Pllc
Southern Maine Eye Associates
Maine Osteopathic Medicine
Steep Falls Family Practice
James Kirsh, DO
Maine Medical Partners
Maine Nephrology Associates, P.A.
Western Maine Radiology, P.A.
Robert Sansonetti, MD
Crown Gastroenterology
Southern Maine Allergy Associates , Pa
Health Care Today Associates Pa
Thomas R. Maycock D/B/A
Metabolic Leader Llc
Max Health Maine LLC
Joshua Iannetta dba Iannetta Osteopathic Manipulation
Leslie R. Gass, D.O., Inc.
Chest Medicine Associates Pa
Eric Muca DPM LLC
Fore River Urology
Richard Stockwell, DO dba Maine Proctology Center
Coastal Ear Nose & Throat,PA
Spectrum Medical Group , P.A.
Retina Center of Maine, LLC
Osteopathic Healthcare of Maine
David Hotelling, MD
Leigh Baker, DO
Full Circle Family Medicine Llc
Coastal Maine Internal Medicine
St. Andrews Hospital
Waldo County General Hospital
Webber Hospital Association
St. Mary''s Regional Medical Center
Miles Memorial Hospital Incorporated
Stephens Memorial Hospital
Maine Medical Center
Community Clinical Services, Inc.
Penobscot Bay Physicians & Associates
The Memorial Hospital
Judy Welch, MD, PA
Bayside Podiatry
Nancy Oliphant MD
Associated Eyecare Ophthalmology, PA
Patricia Phillips, DO
Cape Elizabeth Family Medicine, Llc
Hospital Manipulative Service Pa
Coastal Osteopathic Center
Wayne D Piers
Margaret E Matthews MD
Casco Bay Surgery Pa
Casco Bay Rehabilitation, Pa
Elizabeth B. Pierce, Do
Medomak Family Medicine Llc
Karen Benezra, DO
Waterboro Village Pediatrics Llc Pa
Joseph Rd Dekay Do
Portland Psychiatric Services
Mark Braun, MD
Carl Schuler, DO
Jo Johnson
Ronald Rovner, MD
Royal River Family Care
Philip Abraham, MD
Southern Maine Foot And Ankle
Portland West Family Practice
Lifespan Family Healthcare Llc
Dr Martin Robbins Md Llc
Lighthouse Family Foot And Ankle Cent
Port City Neurology
York County Urology
Portland Osteopathic, PA
David D. Keller, DO
Portland Cardiology P.A.
Fore River Family Medicine
Richard Steinmetz, DPM
Advanced Orthopaedics And Sports Medicine, Llc
Wiscasset Family Medicine LLC
Well Woman Clinic
James F Flaherty Do Llc
Galbraith Family Medicine, LLC